US Army

Primary specialty

Military HospitalTaxonomy code 286500000X

License

M1366 Issued in TX

Legal business name

US ARMY

Practice address

2200 Bergquist Dr
Lackland a F B, TX 78236-9907

Phone

(210) 292-0427

NPI assigned

Nov 11, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ted Cieslack, MD

Title

Chief Pediatrics

Phone

(210) 916-0707

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366423741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BERGQUIST DR",
            "city": "LACKLAND A F B",
            "state": "TX",
            "postal_code": "782369907",
            "telephone_number": "210-292-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BERGQUIST DR",
            "city": "LACKLAND A F B",
            "state": "TX",
            "postal_code": "782369907",
            "telephone_number": "210-292-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US ARMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CIESLACK",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "CHIEF PEDIATRICS",
        "authorized_official_telephone_number": "210-916-0707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "TX",
            "license": "M1366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iris Vanessa Teasley, CADAC
• John Douglas Thomas, RPH,BCNP
• Julia Trang, RPH, PHARMD
• Alfred Francois Trappey III, M.D.
• Derek Kurt Urban, MD
• Bernadette Ann Vanness, IDMT
• Gary Vincent Vigil, DDS
• Carlos Villanueva, CRNA
• Michele Terese Vita, DPT, OCS
• Nancy Vogelgesang, PHARMD

• Military Hospital in Lackland a F B, TX
• Providers in Lackland a F B, TX by specialty
• Military Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.